Individual
DR. MICHAEL ANTHONY CUCCIARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6562
Mailing address
795 WILLOW ROAD (152), MENLO PARK, CA 94025
(650) 493-5000
(650) 617-2690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
13-05AP-PL
AR
103TC0700X
Clinical Psychologist
PSY24284
CA
Other
Enumeration date
09/06/2011
Last updated
09/10/2013
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